US4330891A - Element for implantation in body tissue, particularly bone tissue - Google Patents
Element for implantation in body tissue, particularly bone tissue Download PDFInfo
- Publication number
- US4330891A US4330891A US06/125,654 US12565480A US4330891A US 4330891 A US4330891 A US 4330891A US 12565480 A US12565480 A US 12565480A US 4330891 A US4330891 A US 4330891A
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- tissue
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- implantation
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- Expired - Lifetime
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/50—Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
- A61L27/54—Biologically active materials, e.g. therapeutic substances
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
- A61F2002/3006—Properties of materials and coating materials
- A61F2002/30107—Properties of materials and coating materials using materials or accessories for preventing galvanic or electrolytic corrosion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
- A61F2002/30667—Features concerning an interaction with the environment or a particular use of the prosthesis
- A61F2002/30677—Means for introducing or releasing pharmaceutical products, e.g. antibiotics, into the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/02—Prostheses implantable into the body
- A61F2/30—Joints
- A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
- A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
- A61F2002/30838—Microstructures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
- A61F2210/0009—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using materials or accessories for preventing galvanic or electrolytic corrosion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/20—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices containing or releasing organic materials
- A61L2300/21—Acids
- A61L2300/214—Amino acids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/40—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
- A61L2300/404—Biocides, antimicrobial agents, antiseptic agents
- A61L2300/406—Antibiotics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/40—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
- A61L2300/412—Tissue-regenerating or healing or proliferative agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/40—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
- A61L2300/428—Vitamins, e.g. tocopherol, riboflavin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2300/00—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices
- A61L2300/40—Biologically active materials used in bandages, wound dressings, absorbent pads or medical devices characterised by a specific therapeutic activity or mode of action
- A61L2300/43—Hormones, e.g. dexamethasone
Definitions
- the present invention relates to an element for implantation in body tissue, particularly bone tissue, in which the surface intended to face the body tissue is micro-pitted and the material of the element is selected to avoid the occurrence of unsuitable electrical potential differences and galvanic currents in the implantation region.
- Swedish Patent application Ser. No. 77 10 777-9 emphasizes the importance of having the carrier elements or implants described therein so designed as to achieve rapid re-establishment of the blood circulation around and through the carrier means. This requires considerably increased supply of biological media with a reconstructive effect. This reduces the time for healing, due to increased cell formation and more rapid mineralization of in-growing tissue. A considerably improved clinical result and shortened hospitalization time are then achieved.
- the prosthesis or connecting material is formed as an integratable part of the bio-physiological milieu and that this material is in a biologically, physically and biochemically optimal ratio to the bone tissue, which for the most part consists of Ca 2+ , PO 4 3- and CO 3 2- ions with traces of other ionized substances occurring naturally in plasma or bone apatite.
- the object of the present invention is to effect a carrier element with improved properties as regards acceptance of the carrier element, primarily improved durability of the healthy ingrowth of the element due to its biological quality.
- the present invention provides an element intended for implantation in body tissue, consisting of a biologically flawless material with a porous, i.e., micro-pitted surface intended to face the tissue in the implantation region of a patient, said material being selected to avoid the occurrence of unsuitable electrical potential differences and galvanic currents in the implantation region, wherein on or in the element is arranged at least one depot of at least one agent facilitating and/or accelerating the healing process of the body tissue on the element, wherein said agent contains enriched whole blood or plasma from the patient into whom the element is to be implanted by surgery.
- the surface between living, ingrowing cells and shoots to the cells in the mineralization process shall, together with channelized material and laminae with collagen fibrils, form such a tight and extensive boundary limit to the connecting devices that these achieve reinforced and inextricable anchoring in the living bone tissue. In this way, detachment of the implant from the boundary zone will be impossible. In experiments, it has been found that fracturing occurs away from established boundary zones.
- the material for the connecting device should thus preferably have a surface structure in which the diameter of the pits should be 10 to 1000 nm, where the upper limit of 1000 nm corresponds to the cell diameter, or more preferably 10 to 300 nm where the upper limit of 300 nm corresponds to a transverse dimension of an offshoot from the tissue cell and of a fibril from bone tissue.
- the mineralized constituents of the bone tissue are primarily hydroxy apatite having a composition Ca 10 (PO 4 ) 6 (OH) 2 .
- This general formula for a minimum harmonic molecule unit corresponds to a unit length of about 5 to 20 nm.
- the mineralized parts of the bone tissue also include a certain amount of Mg 2+ , Na + and K + as well as CO 3 2- , Cl - , F - and citric acid. From the mineralogical point of view, this confirms good experience in operating in implants having a pit diameter of 10 to 300 nm.
- the P atoms in PO 4 3- are tetrahedrically interspersed and form a three dimensional, deformed network in which the PO 4 3- ions are to a great extent connected by hydrogen bonds to the surrounding material of mineralized and living tissue consisting of proteins and other membrane substances such as carbohydrates, or fatty substances.
- the upper limit (of the same order of magnitude as the cell diameter) and the lower, even more optimal, pit diameter limit correspond to the dimensions of the cell shoots and bone tissue fibrils with the mineral components as above.
- the formation of new bone tissue takes place from the surface of the bone tissue through the living cell system with the intra-cellular matrix consisting of collagen fibres and inorganic components.
- the inorganic components in the resulting bone constitute 2/3 of its weight. Of this, 85% comprises calcium phosphate and about 10% comprises calcium carbonate.
- the collagen fibres contribute greatly to the strength and elasticity of the bone tissue. All bone cells are of the same basic type, which undergo alterations at the same rate as the mineralization from osteoblasts via osteocytes to osteoclasts. Osteoclasts vary in appearance from cuboid to pyramid shapes oriented in continuous layers.
- the cytoplasma is characterized by the presence of ribonucleo protein which synthesizes protein components for the bone matrix.
- the osteoblasts contain the enzyme alkaline phosphotase which not only develops the matrix but is also responsible for the mineralization process.
- the osteoblasts are thereby transformed to osteocytes, fully developed bone cells, within the frame of the bone matrix.
- the cytoplasma of the osteoblasts contains fat, a certain amount of glycogen and fine granules. Direct contact between adjacent osteoblasts occurs during the bone building process. The process conserves a highly developed channel system for the exchange of metabolites between the bone cells and the vessel bed (the blood circulation).
- the osteoclasts are a bone cell type, with wide variation in size, which can be found in the bone surface and consist of what are known as fused cells, giant cells having several cores.
- the surrounding bone tissue often appears to be partially demineralized and it is therefore assumed that this type of cell is a phase in the resorption of bone during the rebuilding phase.
- the osteocollagen fibres are held together by a cement substance consisting substantially of mucopoly saccharides (chondroitin sulphate).
- the mineral substances of the bone are exclusively localized to the cement between the fibres and consist essentially of crystals of calcium phosphate of the hydroxy apatite type of crystal in the form of high density particles arranged perpendicularly to the osteocollagen fibres.
- the bone matrix is arranged in laminated form, the laminae having a thickness of 3 to 7 ⁇ m.
- the collagen fibres have transverse corrugation at a recurrent distance of 68 nm between the fibres. This confirms the correctness of the technical implementation of the material substitute to be selected as carrier element or replacement for traumatized tissue.
- the mechanical or metallurgical production methods used should be such that both the number of micro-pits and the pit diameter in the material used gives it even greater total ingrowth surface between implant and newly formed tissue. It has also been found advantageous to provide the implant with large through openings for bone tissue to grow through.
- the connecting devices shall be manufactured from biologically flawless material which cannot give rise to unsuitable differences in electrical potential or galvanic currents in the implant regions. Special materials such as titanium, titanium alloys, ceramic material or metal covered with ceramic material have been found to give acceptable biological integration.
- titanium is, due to its proximity to Ca in the periodic table and its chemical inertness, supposed to be an extremely suitable basic material both as attachment device and prosthesis and also as replacement for soft tissue. Experiments have shown that no titanium has migrated into the surrounding tissue from unalloyed titanium implanted into various types of tissue by surgery.
- the titanium material to be used for osteointegration should preferably be totally unalloyed, at least in the boundary zone between living tissue and implanted titanium.
- the surface structure of the titanium material has been emphasized above, and in the case of titanium the surface structure is effected by scoring the surface with a cutting rate of less than 20 m/min under air or other oxygen gas cooling, such as O 2 or stabilized hydrogen superoxide.
- the cutting speed is kept low to give the process sufficient time to provide oxidization of the workpiece.
- the oxidization entails the formation of titanium oxides which, due to their mineralogical properties, promote the formation of a biologically appropriate surface structure of micro-pitted type (moon surface type).
- the surface may be produced in some other manner, such as by sintering or metal vaporization in inert gas. However, the most economic method appears to be preparation with a cutting tool.
- the surface may also be ceramicized only with other biological, negatively charged ions such as phosphates (phosphatizing), phospates +O 2 , and other combinations with small quantities of sulphate, fluoride, chloride and a certain basic carbonization.
- titanium When stored, titanium (and even low-alloyed titanium after machining) quickly acquires an oxidized surface equivalent to a crystallized surface of rutile TiO 2 , whereupon the oxygen content of the titanium drops from the surface layer inwards until the oxygen content reaches a value of 0.
- the deformed bone apatite tends to form strong bonds over its monocline and tetrahedrally (hexagonally) faceted structure with the finely pored rutile deposit of the titanium material, since the cubic molecule lattices of the rutile and the hexagonal molecule lattices of the bone apatite fit excellently together.
- the carrier element or connecting device as well as the prosthesis material, with suitably located resorbable depots in ridges, punched recesses or applied surface layer.
- a combination of these alternatives may, of course, also be used.
- the total collagen conglomerate consists of three collagen threads, each comprising a triple helix of osteotrope collagen fibres.
- Dominant amino acids in the peptide chains of the collagen which are difficult to dissolve are glycine, about 30%, and proline.
- Such a peptide chain contains proline frequently peptidized with glycine.
- the proline is hydroxylated into a 4-stand by protocollagen-hydroxylase. Vitamin C is required to accelerate the process.
- Vitamin C is required to accelerate the process.
- some of the lower lysis content of the collagen is transformed to hydroxylysine.
- the hydroxy group of this amino acid is connected in a covalent bond with disaccharides consisting of galactose and glycose.
- the "fibre gap" described forms the centre for the mineralization of the bone tissue.
- the pit diameter is so small that it can form three dimensional deposit points for (a) end terminal collagen fibre groups, (b) carbohydrate groups of the collagen and (c) collagen fibres with bone mineral while at the same time forming covalent bonds and inter-molecular binding forces in a network and space pattern which is as close as possible (5 to 500 nm).
- the prerequisites for a durable bond between living tissue and a substitute for living tissue are based on the relevant knowledge gathered about the collagen fibre system of the various types of tissue with interspersed minerals which have been specialized to the biological function of each tissue.
- Swedish Pat. No. 77 10 777-9 describes an embodiment of the prosthesis and connecting devices permitting the application of depots either in or on them.
- Agents such as membrane effects, mineral substances, blood vessel dilator, coagulation-regulator, vitamins and growth-promoting hormones are incorporated in these depots.
- the agent may be applied to the material surfaces, or arranged in the form of suitably arranged depots consisting of fully resorbable material innocuous to the tissue.
- Another variant which has now been found by experiment to be able to improve the healing result is treating the material intended for operation by means of dipping, or some other form of surface contact, with whole blood or plasma possibly enriched before the operation with desired nutritional and therapeutic agents including desirable proenzymes, enzymes, hormones, specific substrates and vitamins.
- the requirements specified, including the pit size, are applicable to all material selected for biological integration, for attachment devices for prostheses for use in the cranial bones, joints, soft tissue or soft tissue transition.
- the operative area can be treated locally by enrichment of the patient's own plasma or blood, or pre-analysed plasma may be considered adequate.
- the prosthetic material may be treated before use with enriched plasma or whole blood. Irrespective of the nature of the prosthetic material, it should be given such a surface structure as to ensure an increased deposition of enriched plasma or whole blood.
- the structure of the prosthetic material should enable such a quantitative deposition of biologically optimal growth factors, in order that these may be brought into the reconstructive area during the most intensive growth phase.
- Functional depots are formed in the prosthetic material in such a way that they may be used pre- or intra-operatively.
- the depots are manufactured of such materials which have been found to be immunologically acceptable and bio-degradable.
- a biological material from treated patients may be used.
- bone, cartilage or collagen tissue from treated patients can be considered.
- the materials are preferably freeze-dried, whereafter enriched plasma or whole blood is added.
- Surplus material is removed and the above-mentioned depot can immediately be used, or may undergo a renewed freeze-drying procedure for later use.
- the depot areas in the prosthetic material are chosen in such a way that they are brought into intimate and adequate contact with tissues adjacent to the prosthesis.
- Biologically important substances for general or local treatment or administration include:
- vitamins especially ascorbic acid and nicotinic acid compounds, whereby ascorbic acid is mandatory for a normal collagenisation
- phosphate primarily in the form of calcium phosphate with supplements by other materials such as sodium, potassium, magnesium, zinc, etc. (the phosphate ought to be completed by lesser amounts of chloride and fluoride ions);
- growth hormones are especially added to local depots or as finish on the prosthestic material, whereby fibrine is used as a covering layer;
- broad-spectrum antibiotics are used and may be locally administered in the above described manner;
- the list of growth-biochemicals can naturally be added to, using the described method.
- the above described technique can be further developed by compensating the need for substances promoting biological growth, using separate packages, or using pre-manufactured depots of different size, which may be stored before use in connection with reconstructive surgery.
- the packages containing sterile products should be hermetically sealed, to be opened just before the operation, or intraoperatively.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Transplantation (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Medicinal Chemistry (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- Chemical & Material Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Vascular Medicine (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Dermatology (AREA)
- Epidemiology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Materials For Medical Uses (AREA)
- Prostheses (AREA)
- Medicinal Preparation (AREA)
- External Artificial Organs (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE7902035 | 1979-03-07 | ||
SE7902035A SE416175B (sv) | 1979-03-07 | 1979-03-07 | For implantering i kroppsvevnad serskilt benvevnad, avsett material |
Publications (1)
Publication Number | Publication Date |
---|---|
US4330891A true US4330891A (en) | 1982-05-25 |
Family
ID=20337480
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US06/125,654 Expired - Lifetime US4330891A (en) | 1979-03-07 | 1980-02-28 | Element for implantation in body tissue, particularly bone tissue |
Country Status (18)
Country | Link |
---|---|
US (1) | US4330891A (xx) |
JP (2) | JPS55120864A (xx) |
AT (1) | AT399096B (xx) |
BE (1) | BE881953A (xx) |
CA (1) | CA1157694A (xx) |
CH (1) | CH653245A5 (xx) |
DE (1) | DE3007446C3 (xx) |
DK (1) | DK96880A (xx) |
ES (1) | ES489204A1 (xx) |
FI (1) | FI800706A (xx) |
FR (1) | FR2450599B1 (xx) |
GB (1) | GB2045083B (xx) |
IE (1) | IE49186B1 (xx) |
IT (1) | IT1130275B (xx) |
LU (1) | LU82222A1 (xx) |
NL (1) | NL185390C (xx) |
NO (1) | NO149373C (xx) |
SE (1) | SE416175B (xx) |
Cited By (167)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4553272A (en) * | 1981-02-26 | 1985-11-19 | University Of Pittsburgh | Regeneration of living tissues by growth of isolated cells in porous implant and product thereof |
US4578081A (en) * | 1982-02-17 | 1986-03-25 | Howmedica International, Inc. | Bone prosthesis |
US4608052A (en) * | 1984-04-25 | 1986-08-26 | Minnesota Mining And Manufacturing Company | Implant with attachment surface |
US4610692A (en) * | 1981-02-20 | 1986-09-09 | Mundipharma Gmbh | Implant for filling bone cavities and fixing bone fragments in a living body, method of producing the same, and bone implant system |
US4627853A (en) * | 1985-05-29 | 1986-12-09 | American Hospital Supply Corporation | Method of producing prostheses for replacement of articular cartilage and prostheses so produced |
GB2181354A (en) * | 1985-10-08 | 1987-04-23 | Finsbury | Improvements relating to orthopaedic implants |
US4673409A (en) * | 1984-04-25 | 1987-06-16 | Minnesota Mining And Manufacturing Company | Implant with attachment surface |
US4678470A (en) * | 1985-05-29 | 1987-07-07 | American Hospital Supply Corporation | Bone-grafting material |
US4713076A (en) * | 1984-04-19 | 1987-12-15 | Klaus Draenert | Coating composition and anchorage component for surgical implants |
US4838891A (en) * | 1984-11-28 | 1989-06-13 | Branemark Per Ingvar | Joint prothesis |
US4863475A (en) * | 1984-08-31 | 1989-09-05 | Zimmer, Inc. | Implant and method for production thereof |
US4880006A (en) * | 1986-11-21 | 1989-11-14 | Nobelpharma Ab | Bone ingrowth chamber |
US4902296A (en) * | 1986-10-29 | 1990-02-20 | The University Of Virginia Alumni Patents Foundation | Use of demineralized bone matrix in the repair of segmental defects |
US4917703A (en) * | 1986-11-21 | 1990-04-17 | Nobel Pharma Ab. | Bone ingrowth chamber |
US4932973A (en) * | 1983-09-30 | 1990-06-12 | El Gendler | Cartilage and bone induction by artificially perforated organic bone matrix |
US5053049A (en) * | 1985-05-29 | 1991-10-01 | Baxter International | Flexible prostheses of predetermined shapes and process for making same |
US5062851A (en) * | 1989-04-25 | 1991-11-05 | Medevelop Ab | Anchoring element for supporting a joint mechanism of a finger or other reconstructed joint |
US5071351A (en) * | 1986-07-02 | 1991-12-10 | Collagen Corporation | Dental implant system |
US5104318A (en) * | 1990-09-20 | 1992-04-14 | 2848-4293 Quebec Inc. | Implant assembly for anchoring an artificial tooth |
US5108443A (en) * | 1989-04-25 | 1992-04-28 | Medevelop Ab | Anchoring element for supporting a joint mechanism of a finger or other reconstructed joint |
US5120221A (en) * | 1989-12-29 | 1992-06-09 | Orenstein Jonathan H | Dental clamp for use in implant restorative dentistry |
US5169308A (en) * | 1989-12-22 | 1992-12-08 | Ab John Sjoding | Device for tooth implantation |
US5188800A (en) * | 1988-06-03 | 1993-02-23 | Implant Innovations, Inc. | Dental implant system |
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Also Published As
Publication number | Publication date |
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NL8001241A (nl) | 1980-09-09 |
AT399096B (de) | 1995-03-27 |
BE881953A (fr) | 1980-06-16 |
NO149373C (no) | 1984-04-11 |
IE49186B1 (en) | 1985-08-21 |
FR2450599B1 (fr) | 1986-05-02 |
ES489204A1 (es) | 1980-08-16 |
LU82222A1 (fr) | 1980-06-06 |
DE3007446C3 (de) | 1998-04-23 |
DE3007446A1 (de) | 1980-09-18 |
CH653245A5 (de) | 1985-12-31 |
NO149373B (no) | 1984-01-02 |
JPH05345014A (ja) | 1993-12-27 |
SE416175B (sv) | 1980-12-08 |
IT8020341A0 (it) | 1980-03-04 |
DE3007446C2 (xx) | 1991-03-28 |
DK96880A (da) | 1980-09-08 |
FR2450599A1 (fr) | 1980-10-03 |
NO800651L (no) | 1980-09-08 |
JPS55120864A (en) | 1980-09-17 |
SE7902035L (sv) | 1980-09-08 |
GB2045083A (en) | 1980-10-29 |
GB2045083B (en) | 1984-01-11 |
CA1157694A (en) | 1983-11-29 |
NL185390B (nl) | 1989-11-01 |
JPH0133180B2 (xx) | 1989-07-12 |
IE800460L (en) | 1980-09-07 |
NL185390C (nl) | 1994-02-16 |
IT1130275B (it) | 1986-06-11 |
FI800706A (fi) | 1980-09-08 |
ATA127680A (de) | 1994-08-15 |
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